Provider Demographics
NPI:1871856583
Name:SCHLUEDERBERG, ERIC AHLERS (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:AHLERS
Last Name:SCHLUEDERBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3727 W 6TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-5105
Mailing Address - Country:US
Mailing Address - Phone:213-235-2500
Mailing Address - Fax:213-251-8647
Practice Address - Street 1:3727 W 6TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-5105
Practice Address - Country:US
Practice Address - Phone:213-235-2500
Practice Address - Fax:213-251-8647
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A12994207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine